Patient Forms

We encourage you to complete your patient forms prior to your appointment with Dr. Mario Samaniego, Dr. Jaime Gonzalez, Dr. Jared Wallis, or Dr. Logan D. Behrmann. This saves you time when you visit our office and helps to streamline your appointment with our dentists. If you have any questions about our patient forms, or to schedule a consultation at our dental office in Las Cruces, New Mexico, call Las Cruces Dental Associates today at 575-523-1479.

In order to submit the online forms, you must use Google Chrome web browser. Click here to download. Currently the online forms are not compatible with mobile devices.